KELLY R FISH - Pharmacist License in Wisconsin | # 049078361

KELLY R FISH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078361

License Status

NOT RENEWED

Business

N

First Name

KELLY R

Last Name

FISH

Business Name

KELLY R FISH

Original Issue Date

06/03/1983

Effective Date

06/03/1983

Expiration Date

03/31/1991

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005